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In “The Spirit Catches You And You Fall Down,” Anne Fadiman provides us with her book about two different cultural worlds and how they collide. 1. Quag Dab Peg in Hmong culture is caused by a bad spirit (dab’s). Hmong’s believe dab’s steal souls and cause sick illnesses.
During treatment, the criminally insane are cared for by nurses, psychiatrists and other hospital administrators. For the treatments to be effective, the hospital staff must adapt to the way of life in the psychiatric hospital. In the article “Inside a hospital for the criminally insane” by Caitlin Dickson, posted on The Daily Beast, Dickson shares her readings of a book written by Dr. Stephen Seager about the inside of the Napa State Hospital. Napa State Hospital is home to approximately 12,000 patients and a majority of the patients are rapists, killers and mass murderers (TheDailyBeast). Everyday the hospital staff endures violence and personalities of the patients.
Have you ever thought about how difficult it might be to go into a different country knowing absolutely nothing, not even language, and something horrific happened to you or anyone in your family? Don’t you think you would feel so powerless, so helpless, so clueless? This happens commonly and it has never had any attention brought to it, at least not until 1998. Anne Fadiman wrote a book entitled, The Spirit Catches You and You Fall Down. This demonstrated a collision of two complete opposite cultures, but they both have the same goal to help the child get better.
Tenzin Dasel Professor Melissa Kosinski Collins Brandeis Stem Posse 11 June 5, 2018 The Spirit Catches You and You Fall Down by Anne Fadiman Cultural diversity is becoming increasingly important in the workplace. This is particularly true in the medical field facing demographic shifts in the patients served and their families. The clash between western medicine and non-American culture becomes persistent as immigrants increase and so the significance of a mutual understanding of culture and medicine between a doctor and patient becomes more obvious. Anne Fadiman, in “The Spirit catches you and you fall down” intersperses anecdotes and uses precise writing to make her audience understand the significance of cultural sensitivity and the role
Brave Heart, Maria Yellow Horse, et al. “Historical Trauma Among Indigenous Peoples of the Americas: Concepts, Research, and Clinical Considerations.” Journal of Psychoactive Drugs, vol. 43, no. 4, 2011, pp. 282-290.
Within the profession of occupational therapy, practitioners come across many individuals from varying backgrounds as clients or as teammates. For this purpose it is important to be culturally competent because it helps in treatment of individuals we may be working with regularly. In addition, being culturally competent helps prepare the OT practitioner for how mental health or other conditions are viewed in an individual's culture which will also impact the approach to treatment. One of the main obstacles I may see if the language barrier which may limit the amount of information the practitioner can receive from the client.
My role in providing behavioral counseling to my clients was contingent on a positive connection with the child, their family, and the family team. More often than not, multiple members of the overall group were from various cultural backgrounds. At times, interactions with a parent could have been misinterpreted due to the nature of the communication style or punishment of the child. Without the knowledge of cultural expectations and interactions different than my own, I may have misinterpreted actions that could have led me to alternatively and incorrectly address client
Counseling Services in Hispanic Culture The topic of culture used to be largely debated in the world of clinicians and psychologists, fortunately, this is now viewed as a fundamental competency (e.g., Vera & Speight 2003). The American Counseling Association is the largest association of professional counselors worldwide, they define counseling as “a collaborative effort between the counselor and client. Professional counselors help clients identify goals and potential solutions to problems which cause emotional turmoil; seek to improve communication and coping skills; strengthen self-esteem; and promote behavior change and optimal mental health”.
The world is a diverse population, with people coming from various ethnic and cultural backgrounds. A person’s views, values, and traditions determine their daily needs and practices. So, healthcare providers face certain challenges and restrictions because a patient’s belief may inhibit professionals from providing the most effective care. Therefore, cultural competence is an important idea for healthcare providers to consider when understanding and respecting patients. Balcazar, Suarez-Balcazar, and Taylor-Ritzler (2009) noted in “Cultural competence:
Being culturally competent as a social worker is a requirement in the field. The National Association of Social Workers (NASW) Code of Ethics concludes, “Social workers should understand culture and its function in human behavior and society, recognizing the strengths that exist in all cultures” (2008). In the field, social workers encounter individuals of many different ethnic and diverse backgrounds. It is important for social workers to understand the cultural norms of any culture! The reason why is because having this knowledge helps the social worker bridge communication barriers with a foreign individual.
In consideration of cultural counseling, social workers will provide interventions to help identify clients’ barriers and identify their family expectations and cultural assumptions that influence their life choices. This tie into helping the client identify ways and solutions when they want to go against their family or cultural expectations, but at the same time be respectful of the client’s overall cultural values and bring awareness to the client that their cultural values and racism may influence their aspirations. Afterwards, the social workers must counsel the client to encourage and promote
Historically, society as a whole has encountered many adverse situations regarding multicultural counseling, all of which have strengthened the core of the profession. Counseling for many years was entangled with the ideology of monocultural disciplines, which deemphasizes the notion of cultural diversity in the profession of counseling. This is significant as due to the premature societies, it was considered the norm to be associated with a single dominant cultural group where its values, behaviors, expectations, and methodologies were assumed to be the catalyst for all other cultures to follow. Seemingly, the previously mentioned became problematic and unorthodox, as societies across the world continued to expand racially and ethnically.
The way a person thinks about health, “whether that is our ‘philosophy’, our ‘worldview’, our ‘framework’ influences what we do as individuals in practice,” as well as how we deliver the health service. These elements allow us to think about healthcare in our own culturally acceptable way, this isn’t always an acceptable way of delivering the service to people with views different to our own. Cultural competence is an approach that aids in influencing the service and the education of healthcare professionals. (Taylor, K., & Guerin, P., 2010). Cultural competence is defined as a knowledge and understanding of cultures, histories and contemporary realities and awareness of protocols, combined with the proficiency to engage and work effectively in a cultural context congruent to the expectations of the people of that culture.
But in counselling our worldview is define by how we think about everyday matters, cause of behaviour that trigger emotional distress and problems. (Meleod, 2007) state that to be a “good” counsellor we must know our self-awareness, belief values and what our personal feeling and thoughts are, and how it can help us engage with clients in the counselling practice. While Egan state that it important for counsellor to believe in the counselling process and formed a good therapeutic relationship that allow clients to trust them and feel accepted without being judge regardless of their problem or cultures. (Egan.
Although some rightfully argue that all counseling is cross-cultural, when working with clients who are from a different culture than one’s own, the schism is often great. Therefore, cross-cultural competence is a theme we will visit and revisit throughout this text, and I will offer a number of ways for you to lessen the gap between you and your client. One model that can help bridge the gap is D’Andrea and Daniela’s (2005) RESPECTFUL Counseling Model, which highlights ten factors that counselors should consider addressing with